前置胎盘合并胎盘植入的诊治分析

Diagnosis and Treatment of Placenta Previa Complicated with Placenta Accrete

目的探讨前置胎盘合并胎盘植入的治疗方法。方法该次研究共有108例研究对象,均为该院产科2015年1月—2017年6月期间所接收的患有前置胎盘合并胎盘植入的产妇中随机选出的。分组采用数字表分组法,将该次研究所选取的对象分为两组,即对照组54例与研究组54例。对照组患者接受的治疗方法为常规治疗,研究组患者接受的治疗方法为结扎子宫动脉上行支术治疗。结果两组患者在接受治疗之后,在手术过程中,两组患者在出血量方面差异有统计学意义,研究组出血量(502.3±100.5)m L,显著低于对照组(3 000.1±350.5)m L。研究组产后出血、子宫切除的发生率分别为7.41%(4/54)、7.41%(4/54),对照组产后出血、子宫切除的发生率分别为51.85%(28/54)、24.07%(13/54),研究组显著低于对照组,研究组与对照组患者接受治疗后差异有统计学意义(P<0.05)。结论对于存在前置胎盘合并胎盘植入的产妇来说,单纯的剖宫产手术是无法有效治疗这一情况的,而通过使用结扎双侧子宫动脉上行支术对患者进行治疗所起到的作用是十分显著的,且在治疗后与常规治疗方法相比较,这一方法的术后并发症少,对产妇所造成的影响也较小,相对来说这一种治疗方法的安全性比较高。

Objective This paper tries to investigate the treatment methods of placenta previa complicated with placenta accreta.Methods A total of 108 cases from January 2015 to June 2017 were randomly selected from the mothers who had received placenta previa and placenta accreta in our hospital in recent years.By using digital table grouping method,the subjects selected in this study were divided into two groups;namely the control group of 54 cases received conventional treatment,and the study group of 54 cases received ligation of ascending branch of uterine artery.Results During the surgery,the two groups of patients receiving their own treatments differed in the statistical differences in the amount of bleeding.The amount of bleeding in the study group was(502.3±100.5)mL,which significantly lowered than the control group of(3 000.1±350.5)mL.The incidence of postpartum hemorrhage and hysterectomy of the study group were 7.41%(4/54)and 7.41%(4/54)respectively,while the incidence of postpartum hemorrhage and hysterectomy of the control group were 51.85%(28/54)and 24.07%(13/54).It was clear that the study group was significantly lower than the control group,the difference between the patients in the study group and control group who had received their treatment was statistically significant(P<0.05).Conclusion For the puerperae suffering from the placenta previa complicated with placenta accreta,simple cesarean section surgery is not effective in the treatment of this situation,but the ligation of ascending branch of uterine artery plays an important role and compared with conventional treatment,it has less postoperative complications and impact on maternal safety treatment,so this method has less risk.